Individual
FREDDY JEAN KARLO TOLOZA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1000
Mailing address
5331 B ST, LITTLE ROCK, AR 72205-3509
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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